Individual
PAUL YUAN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3594
(610) 715-5248
Mailing address
128 E HARTWELL LN, PHILADELPHIA, PA 19118-3431
(610) 715-5248
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
SP028490
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
SP028490
PA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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